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TI�E GITY O�' EV�I�.�'��' , <br /> � - -- ; ; ;, <br /> Sketch af Pranosed Sewer Connect;on for Building Situated on Lot________ � ' <br /> ----'--�--��------ Block--------------- --- <br /> Division or Add'rtion---- ---------------- ------------------------------------ <br /> _------------.. _ <br /> No. - ------- -------- ----------------------------- Owned by -------------------'-----------=-�'------------- <br /> ' Applic�,tion and connection by________________� � � ' <br /> „- . <br /> Pr---------- ---- -----------------'---------------------------- Ltcensee <br /> R,emarks _ ----- -----------�----------- ----` -------------------------------- - — _ --- - <br /> Depth of Sewer at Connection I I I I I � ,, , � (��. I � <br /> �. , <br /> ..,: <br /> , —_ <br /> � I <br /> � <br /> � <br /> I — <br /> _ --- - - — - I - - <br /> � <br /> . <br /> —I i <br /> ��JI I-Y I � �- <br /> Connection made the �Q__day of __ QC���____ 101f_.� ExaminednndapprovedUy__ ____ -_. _ _ _____ ___ ___ -- ..- <br /> a ' 07099 c�cY E�, ,�,«,. <br /> /_�_����_/��'�� ___ Sup�. of Strcets and �.ewers By <br /> /�/� �f . <br /> $y�--��-l---�f,�_ !��1.2y� . . Ivsncr,tor � - --- --� - � <br /> ' ----- <br />�_- ---.-�,� ---,-- .� _. _- -- -: - --- - - _- ---- � - . . ... . ;-.. , .. . .,�ti �',�'��I <br /> � <br /> rr <br />